Tarsal Tunnel / Nerve Surgery

What is Tarsal Tunnel /Nerve Surgery?

Tarsal Tunnel Syndrome (TTS) occurs when the posterior tibial nerve, which runs through a passage in the ankle called the tarsal tunnel, becomes compressed or pinched. This condition is similar to carpal tunnel syndrome in the wrist, affecting nerve function in the foot and ankle.

What are signs & symptoms of Tarsal Tunnel and possible need for Nerve Surgery?

The symptoms of Tarsal Tunnel Syndrome can vary but typically include:

Tingling or burning sensations along the tibial nerve, which may extend to the toes.
Numbness or a reduction in sensation in the foot.
Pain that radiates from the inside of the ankle down to the arch and heel.
Symptoms that often worsen with prolonged standing, walking, or exercising, and may improve with rest.

FAQ
Tarsal Tunnel / Nerve Surgery

Tarsal Tunnel Syndrome can be caused by anything that produces compression on the posterior tibial nerve, such as:

Ankle injuries, such as Sprains or ankle fractures could compress the Tibial nerve.
Systemic disease, such as diabetes, endocrine disorders or autoimmune disorders.
Chronic referred pain from lower back or sciatica.

Physical therapy for nerve gliding exercises and strengthening may be recommended.
Medications like NSAIDs, Corticosteroids and much more may be used.
Diagnosis is made with history, examination, diagnostic nerve blocks, Ultrasound, EMG/NCV and other modalities.

You should consult with a peripheral nerve specialist of lower extremities if symptoms of tingling, numbness, or pain in the foot that does not improve with standard home care measures. Early diagnosis and treatment are crucial for preventing permanent nerve damage. If you notice that your symptoms are worsening or if conservative treatments have not alleviated the discomfort, it may be time to consider further diagnostic evaluation and possibly surgical options.